Professional Summary
I am a Medical Billing & Revenue Cycle Specialist with over 25 years of experience supporting Medicaid heavy and multi payer healthcare operations. I specialize in claims follow up, accounts receivable management, denial resolution, and appeals, with a strong focus on accuracy, compliance, and timely reimbursement.
My background spans healthcare operations, payer policy interpretation, and revenue cycle workflows across multiple states and Medicaid programs. I bring hands on experience reviewing claims from submission through final resolution, identifying root causes of denials, and implementing corrective actions to prevent repeat issues.
I am Medical Billing & Coding Certified and experienced in navigating complex payer rules, eligibility verification, authorization requirements, and documentation standards. I work closely with providers, billing teams, and payers to resolve underpayments, recoup lost revenue, and improve overall billing performance.
I am AAPC Credentialing Certified that can provide provider credentialing & enrollment support,
CAQH profile setup and maintenance, Provider payer enrollment tracking, Medicare / Medicaid revalidation processes, NPI, Tax ID, and practice information verification, and Credentialing documentation coordination.
Payment Processing
Medical Billing
Revenue Cycle Management
Accounts Receivable
Insurance Claim Submission
Insurance Document Production
Medical Billing & Coding
Compliance
HIPAA
Rosalyn K.
Garfield Heights, Ohio
$15/hr
5.0
1 jobs
Hello, I'm Rosalyn and thank you for reviewing my profile. Here's an overview of my skills and experience.
Detail-oriented and analytical accounting professional with seven years of experience specializing in accounts receivable, accounts payable and cash application. Experienced in managing high-volume transactions with accuracy, leveraging problem-solving skills to drive efficiency while ensuring compliance. Holds a Bachelor of Science degree in Accounting and seeks continued growth.
I'm excited to connect and explore opportunities to apply my expertise and do what I love.
Your finances, organized with care and a smile.
Bookkeeping
Accounting Basics
Accounts Payable
Accounts Receivable
Data Entry
Farooq K.
Columbia Station, Ohio
$40/hr
5.0
4 jobs
๐๐ซ๐ฎ๐ฌ๐ญ๐๐ ๐๐ฒ ๐ ๐ฅ๐จ๐๐๐ฅ ๐จ๐ซ๐ ๐๐ง๐ข๐ณ๐๐ญ๐ข๐จ๐ง๐ฌ including ๐๐ญ๐๐ซ๐๐ฎ๐๐ค๐ฌ, ๐๐๐๐ข๐ง๐ฌ๐๐ฒ & ๐๐จ๐ฆ๐ฉ๐๐ง๐ฒ, ๐๐จ๐ฌ๐ญ๐๐จ ๐๐ก๐จ๐ฅ๐๐ฌ๐๐ฅ๐, ๐๐จ๐ซ๐ญ๐ก ๐๐ฆ๐๐ซ๐ข๐๐๐ง ๐๐๐ง๐ญ๐๐ฅ ๐๐ซ๐จ๐ฎ๐ฉ, ๐๐๐๐ ๐ฐ๐ข๐๐ค and ๐๐ข๐ญ๐๐ฅ๐๐ซ๐ข๐๐ ๐ ๐๐๐๐ก๐ง๐จ๐ฅ๐จ๐ ๐ข๐๐ฌ. I bring enterprise-level expertise to startups and businesses looking to build software, streamline healthcare operations, and successfully deliver complex technology projects.
With 14 years of experience in project management, medical billing, and digital product delivery, I specialize in turning ideas into scalable solutions that drive measurable business results.
As a PMPยฎ, PMI-ACPยฎ, and ITIL 4 certified professional, I bridge the gap between business goals and technical execution by leading cross-functional teams, optimizing healthcare operations, and managing end-to-end software development projects. I have extensive experience supporting enterprise organizations and leading software initiatives at Vital Bridge Technologies.
What I Bring to Your Project
โ๏ธ Project Management & Product Delivery
* End-to-end project management using Agile, Scrum, and Waterfall methodologies
* Project planning, execution, and delivery management
* Requirements gathering and roadmap creation
* Stakeholder and client management
* Risk, issue, and change management
* Budget management and resource allocation
* Sprint planning and Agile delivery management
* KPI tracking, reporting, and process optimization
* Cross-functional team leadership and coordination
* Product strategy, MVP planning, and digital transformation initiatives
โ๏ธ Medical Billing & Revenue Cycle Management
* Dental and medical billing operations
* Insurance verification and eligibility checks
* Claims submission and payment posting
* Denial management and appeals processing
* Accounts receivable follow-up and collections
* Revenue Cycle Management (RCM) optimization
* Healthcare operations and workflow improvement
* Medical reporting and performance tracking
* Process automation and operational efficiency initiatives
โ๏ธ Mobile & Web Development Expertise
* Custom web application development
* Mobile app development for Android and iOS
* SaaS platform development and management
* Enterprise software solutions
* API development and third-party integrations
* AI-powered applications and chatbot solutions
* Healthcare software and patient management systems
* Product development from concept to launch
* Software development project management and delivery
* Cloud-based and scalable application solutions
Industries I Serve
* Healthcare & Medical Billing
* Healthcare IT & Digital Health
* SaaS & Technology Startups
* Enterprise Technology
* FinTech
* E-commerce
* Education & EdTech
* Small and Medium Businesses (SMBs)
Why Clients Choose Me
โ๏ธ PMPยฎ, PMI-ACPยฎ, and ITIL 4 Certified Professional
โ๏ธ 14+ Years of Project Management and Operations Experience
โ๏ธ Strong Technical and Business Acumen
โ๏ธ Proven Experience Managing Enterprise and Software Projects
โ๏ธ Expertise in Healthcare Operations and Medical Billing
โ๏ธ Clear Communication and Transparent Reporting
โ๏ธ Focus on Process Improvement and Measurable Outcomes
โ๏ธ Dedicated to Building Long-Term Partnerships
I am passionate about helping businesses successfully execute projects, improve operational efficiency, and build innovative digital products. Whether you need a Project Manager to lead your technology initiatives, a Medical Billing Specialist to optimize your revenue cycle, or an expert to oversee mobile and web development projects, I am committed to delivering results that help your business grow.
Whether you're building a mobile app, launching a SaaS platform, optimizing your revenue cycle, or managing a large-scale technology project, I bring the leadership, technical understanding, and execution needed to make your project successful.
Let's discuss your project and explore how I can help bring your ideas to life and achieve your business goals
Payment Processing
Agile Project Management
Scrum
Project Management Professional
Project Planning
Project Logistics
Project Management Office
Smartsheet
Inventory Management
Microsoft Excel
Medical Billing
Medical Billing & Coding
Accounts Receivable
Mobile App Development
Website
SAP
Google Sheets
Accounts Payable
Virtual Assistance
Cold Call
Alisha C.
Springfield, Ohio
$35/hr
5.0
4 jobs
Senior and supervisory level technical accountant with a strong background in accrual accounting as well as tax preparation and planning; prior experience in auditing and payroll supervision; highly detail-oriented with proven analysis and research skills, proven management skills; excellent software skills including IT troubleshooting, conversions, and implementations.
Microsoft Excel
GAAP
Oracle NetSuite
Tax Preparation
Accounting Principles & Practices
Intuit QuickBooks
QuickBooks Online
Financial Statement
PeopleSoft
Microsoft Dynamics ERP
Taxes
Taxation
Tax Accounting
Sage Intacct
Analytics
Mirashraf Y.
Cleveland, Ohio
$25/hr
5.0
16 jobs
Creative Problem-Solver & Administrative Virtuoso
I specialize in providing exceptional administrative and customer support, backed by a robust background in CRM management and payment systems. Leveraging my experience, I excel in managing customer relationships, ensuring seamless payment processing, and maintaining the highest standards of client satisfaction.
With a keen eye for detail and strong organizational skills, I efficiently handle administrative tasks such as calendar management, email handling, data entry, and financial planning. My expertise extends to CRM platforms like Close, Salesforce, HubSpot, Zoho and Zendesk, enabling streamlined communication and enhanced workflow.
Armed with a solid understanding of payment gateways, particularly Stripe, I facilitate smooth transactions, troubleshoot issues, and ensure a secure and efficient payment experience for clients. My goal is to optimize operational processes and elevate customer interactions, adding significant value to your projects.
Let's collaborate and elevate your business operations. I'm passionate about delivering administrative excellence and ensuring superior customer experiences. Let's work together to achieve your goals and exceed expectations!
Email Marketing
Sales Management
Management Skills
Sales
Cold Calling
Scheduling
Microsoft Excel
Britney M.
Springfield, Ohio
$41/hr
4.6
16 jobs
Contracts, CRM, Documentation, Vendor Coordination- I Don't Just Do One Thing Well
Most ops people specialize in a lane. I've drafted production contracts, built payment SOPs from scratch, run sales list analysis for outreach campaigns, and formatted meeting minutes precise enough for legal review, sometimes in the same week. If your business needs more than one kind of "handled," I'm built for that.
Here's the honest version of what I do: I'm the person business owners bring in when things are working but nobody has time to keep them working. Contracts that need to go out today. A CRM that's a mess. A process that only lives in one person's head. That's my lane, or really, my four lanes.
WHAT I ACTUALLY DO DAY TO DAY:
๐ CONTRACTS & AGREEMENTS
I draft, review, and send contractor agreements, MSAs, SOWs, and vendor paperwork โ often under a real deadline, not a hypothetical one. Recently drafted a contractor agreement for a production shoot with a same-day turnaround, and reviewed a multi-party location agreement covering insurance and liability terms before a crew stepped on site.
๐๏ธ CRM & SYSTEMS
I build and clean up the systems your business runs on. HubSpot, Asana, PandaDoc, Notion, ActiveCampaign โ I don't just set these up, I make sure the humans using them actually stick with them. I've taken a single screen-recorded walkthrough and turned it into a full payment processing SOP a whole team could follow without asking a follow up question.
๐ RESEARCH & OUTREACH SUPPORT
Give me a messy list of contacts and a goal, and I'll turn it into something usable. I recently scored and filtered close to 200 B2B contacts by fit and buying signals, then handed off a prioritized shortlist ready for outreach.
๐ MEETING DOCS & RECORDS
When a meeting needs to be documented precisely, not just summarized, that's where I come in. I've produced formal meeting minutes for a sole member meeting involving legal counsel, where accuracy actually mattered.
WHY I'M DIFFERENT FROM THE USUAL OPS HIRE:
Most freelancers pick one thing and stay in that box. I've noticed the businesses that need help most usually need someone who can move between boxes without dropping anything. One week I'm drafting a contract, the next I'm rebuilding a CRM workflow, the next I'm formatting docs for a legal team. I like it that way. It also means you're not hiring four different freelancers to cover what I can do solo.
HOW I WORK:
I'm not precious about tools, I'll learn yours if I don't already know it. I ask questions early instead of guessing and course correcting later. And I write everything down, because the goal isn't just getting the task done, it's making sure your business doesn't need me in the room for it to keep running.
Currently working across a handful of clients in marketing, media production, and staffing, so I know how to context switch fast and keep things moving without dropping the ball on any one of them.
If you've got a contract that needs to go out, a CRM that needs cleaning up, or a process that's only in your head right now, let's talk about getting it out of your head and into something that works without you.
Tech & IT
Online Chat Support
Customer Service
Technical Support
Phone Communication
Server
Data Entry
Remote Connection Support
Problem Solving
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